Individual provider Active NPI

Danielle Demarino Sibley, MS-SLP-CCC

  • Speech-Language Pathologist
  • Flower Mound, TX
National Provider Identifier
1619574100
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
117605 Issued in TX
Practice address
3714 Ridgecrest Dr
Flower Mound, TX 75022-6144
Phone
(940) 451-6458
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 117605 TX Primary

Addresses

Primary practice location

3714 Ridgecrest Dr
Flower Mound, TX 75022-6144

Mailing address

3714 Ridgecrest Dr
Flower Mound, TX 75022-6144
Phone (940) 251-1114

Other names 1

  • Mrs. Danielle Demarino Siegel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
117605TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speak Easy Speech Therapy PLLC Speech-Language Pathologist CurrentSince Feb 1, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1619574100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 RIDGECREST DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750226144",
            "telephone_number": "940-251-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 RIDGECREST DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750226144",
            "telephone_number": "940-451-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBLEY",
        "first_name": "DANIELLE",
        "middle_name": "DEMARINO",
        "credential": "MS-SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "SIEGEL",
            "middle_name": "DEMARINO",
            "prefix": "MRS.",
            "credential": "MS-SLP-CCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.